HomeMy WebLinkAboutZ-37539No: 37539
Town of Southold
53095 Main Rd
Southold, New York 11971
5/6/2015
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 5/6/2015
THIS CERTIFIES that the structure(s) located at: Central Ave, Fishers Island
SCTM #: 473889 Sec/Block/Lot: 6.4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
37539
dated 5/6/2015 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with covered wrap around porch and accessory one car garage_*
The certificate is issued to
of the aforesaid building.
III, Grayson M & Warner, Ellen
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 11679
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
C
Aut ' d
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Central Ave, Fishers Island
SUFF. CO. TAX MAP NO.: 6.4-3 SUBDIVISION:
NAME OF OWNER(S): Murphy III, Grayson M & Warner, Ellen
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Murphy III, Grayson M & Warner, Ellen
DWELLING:
# STORIES: 2.5 # EXITS:
FOUNDATION:
BATHROOM(S):
3
3
Stone
TOILET ROOM(S):
PORCH TYPE: Covered DECK TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Oil
# BEDROOMS: 4
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS: .
REMARKS:
FIREPLACE:
Yes TYPE HEATER:
WARM AIR: X
# KITCHENS: 1
One Car
DATE: 5/6/2015
CELLAR: 1/2 CRAWL SPACE:
1 UTILITY ROOM(S):
PATIO TYPE:
2 GARAGE:
Electric AIR CONDITIONING:
HOT WATER:
BASEMENT TYPE: Unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
DATE OF INSPECTION:
TIME START:
4/8/2015
END:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted .to the Building Department with the following;
A. For new building or new use:
1. Final'survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage -disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9. 1957) non -conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural. or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reason's therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00; Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. April 3, 2015
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: Central.Avenue Fishers Island
House No. Street Hamlet
Owner or Owners of Property: Ellen C. Warner and Grayson M.P. Murphy, III
Suffolk County Tax Map No 1000, Section 6 Block
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
D Requst for: Tepo--
e -m
FeeSubmitted$i4!L10
l Ii
APR - 3 2015
BLDG DEPT
FOV,IP: OF SOUT HOLD
Date of Permit.
4
Filed Map.
Applicant:_
Underwriters Approval:
Lot 3
Lot:
Final Certificate: X (check one)
Applicant Signa
R'chard F. Lark, as agent and attorney
for Ellen C. Warner and Grayson M.P.
Murphy, III
CONSENT TO INSPECTION
Richard F. Lark, as agent and attorney for Ellen -C. Warner and
Grayson M.P. Murphy, III , the undersigned, do(es) hereby state:
Owner(s) Names)
the agent and attorney for
That the undersigned (is)/O the' owners) of the premises in the Town of
Southold, located at Central Avenue, Fishers Island, New York ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 6 , Block 4 , Lot 3.
That the undersigned (has) (awe) filed, or cause to be filed, an application in ,the
Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre-existing Building
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of 'Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained, in the conduct of such inspections may
be used in subsequent .prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: April 3, 2015.
(Signature)
Richard F. Lark, as agent and attorney for
(Print'Name) Ellen C. Warner and
Grayson M.P. Murphy,
(Signature) I I I
(Print Name)
SBEI: Suffolk Bureau of Electrical Inspectors, Suffolk County, NY Page 1 of 1
`I'
40 Nottingham Dr., Middle Island, NY 11953
SUFFOLK
BUREAU o t Telephone: 1 631 495 8136
ELECTRICAL Fax: 1 631 980 6455
INS P E C TO R S, in c. Email: SBEIGS@gmail.com
SITE LOCATION
Date: Nov 10, 2009
Application: 11679
Co. Name: Grayson Murphey
Phone: (631) 788-7919
Municipality: Southold
Name: Grayson Murphey
Cell: (860) 287-7027
Permit Number:
Address: 3867 Central Ave
Hagstrom Map:
Town, State: Fishers Island, NY
Zip Code: 06390
Cross Street: Montauck
Tax Map District: Section: Block: Lot:
CONTACT DETAILS
DBA: BD Electric NY LLC
Name: Chris LaFleche
Phone: (631) 788-7919 License No.: 35821 -ME
Address: PO Box 447
Cell: (860) 287-7027
Town, State: Fishers Island, NY
Fax: (631) 788 -7192 -
Zip Code: 06390
INFORMATION FOR TEMP CERTIFICATE
Service: 200Amp Phase: Single Phase
Details: xxx xxx
UNDERGROUND SERVICE CHANGE xxx NUMBER OF METERS: 1
Fax Temp Certificate To: Contractor
Date Faxed
Replace-/ Upgrade electrical Service to 200 Amp Underground. Meter socket mounted on
exterior of house.
MB Panel in basement. Reconnect all existing circuits to the new
panel.
Description:
GENERAL INFO {
Rough Inspection: ROUGH INSPECTION NOT REQUIRED Assigned To: Unassigned
INSPECTION RESULTS
Rough -in Completion Date:
Final Completion Date:
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TOWN OF SOUTHOLD BUILDING- DEPT.,
765-1802-
J -N
SPECTION
65-1802
.INSPECTION
[ ] FOUNDATION 1,ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[- ]
FIREPLACE '& CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION. [
[ ] ELECTRICAL (ROUGH) [
[ ] CODE VIOLATION [
REMARKS:
] ROUGH PLUMBING
] INSU ION
] FINAL a�,�
]FIRE SAFETY INSPECTION
]
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
] CAULKING
DATE � " /� INSPECTOR
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): .
NAME OF OWNER(S)':
OCCUPANCY:
(type) (owner -tenant) -
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFE. CO. TAX MAP 'NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING /
TYPE OF CONSTRUCTION: G # STORIES: # EXITS:
FOUNDATION:.) BASEMENT:L
�L 2--- CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR:_ 3RD FLR:. .
BATHROOM(S): 31- TOILET ROOM(S): I► UTILITY ROOM:
PORCH -TYPE: DECK, TYPE:. PATIO; TYPE:
BREEZEWAY:.. FIREPLACE: GARAGE:
DOMESTIC HOTWAT-ER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: f C., STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
• • �jC• OMNI_
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START:. AND:
TOWN OF SOUTHOLD PROPERTY RECORD CARD
P".ER. STREET (a -7
VILLAGE
DIST. SUB. LOT
.F ER OWNER N
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TYPE OF BUILDING
SEAS. JVL.
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COMM. CB. MISC. Mkt. Value
--CANIS
IMP.
TOTAL
DATE
REMARKS
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Ma
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BUILDING CONDITION
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BELO\If ABOVE
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FRONTAGE ON ROAD
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LARK & FOLTS
Attorneys at Law
28785 MAIN ROAD
PO BOX 973
CUTCHOGUE, NEW YORK 11935
RICHARD F. LARK
MARY LOU FOLTS
Mr. Michael J. Verity ,
Southold Town Building Department
54375 Route -25 - P.O. Box 1179
Southold, NY 11971
Tele. No. (631) 734-6807
Fax No. (631) 734-5651
E-mail: LarkandFolts@aol.com
April 3, 2015
RE: Ellen C. Warner and Grayson M.P. Murphy,
Central Avenue, Fishers Island, New York
(SCTM #1000-006.00-04.00-003.000)
Dear Mr. Verity:
I am enclosing the following:
APA - 3 2o15
1. Application for Pre-existing Certificate
of Occupancy
2. Consent to Inspection
BLDG. DEPT
OF SOU?HOLD
3. Survey Map of CME Associates Engineering,
Land Surveying & Architecture, PLLC dated
03/20/2015
4. My Check No. 3057 payable to Town of Southold
in the amount of $100.00
You can contact Paul Dean of BD Remodeling at (631) 788.-
7919
88-7919 (office) or (860) 287-7034 (cell) to schedule an inspection
of the premises. If you need any additional information, do not
hesitate to contact me.
Very yours truly,
G
'E_ zle-11 l//
Richard F. Lark
RFL/bd ,
Enclosures
MAP REFERENCES
1. PLAN OF PROPERTY OF MARY E. W. MURPHY CENTRAL
AVE. FISHERS ISLAND, N.Y. SCALE: 1"=40' DATE: JAN.
1965 BY CHANDLER & PALMER, ENGRS.
NOTES
1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND
PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE
BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT
AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
ENGAGEMENT.
2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR
ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A
LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY
WAY.
3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND
SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR
INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR.
4. COORDINATE DISTANCES ARE MEASURED FROM U.S.
COAST AND GEODETIC SURVEY TRIANGULATION STATION
"PROS"
5. SITE IS IP: THE TOWN OF SOUTHOLD, COUNTY OF
SUFFOLK TAX MAP 1000, SECTION 006, BLOCK 4, LOTS
1 &3.
6. SITE IS LOCATED IN ZONING DISTRICT R-80
SyE0CONCR1-F
SEA WALL
ISLAAID DEED
METAL�NqT � LINE SO UND BEAM eFgCy k l
RAIL \ APPROX.
HIGH WATER
N 6�,880p.' \ UNE
2`320, y, NCRETE 1000-006-04-007-- S753614y
C STEPS ,
°ticRFrF ,'VACANT LAND 8p.32, e
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N 7331. ACRES
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LINE
ABUTTERS LINE
EDGE OF PAVEMENT
EDGE OF GRAVEL
NOW OR FORMERLY
30 15 0
GRAPHIC SCALE IN FEET
LEGEND
30
------------------
N/F
QUALITY CONTROL CERTIFICATION
GROUP REVIEWED DATE
PROJECT MANAGER
SURVEY
ENVIRONMENTAL
CIVIL
STRUCTURAL
ARCHITECTURAL
,1
CERTIFIED TO: tp G3.
GRAYSON M.P. MURPHY, III
CHICAGO TITLE INSURANCE SERVICES, LLC
IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE
SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION
TITLE N0.
F I JHER5 I JL-AN:7� 50UNr��
LOCATION MAP SCALE 1 "=400'
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